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Aetna Src Complaints - Unpaid Bills But They Were Approved

Review all Aetna Src complaints

Aetna Src
Posted: 2008-09-30 by Rick Virginia [send email]
Unpaid Bills But They Were Approved
Complaint Rating: 0 % with 0 votes
Company information:
Virginia
United States

Aetna SRC okays every thing and pays nothing! This should be their moto. I have 50K hospital bill from my surgery which was required, plus 20K in doctor bills I am still trying to pay off. The hospital verified my coverage and payment, but Aetna stated is was over my coverage, why pay 280 dollars a month for nothing. We need our Congress to help or better yet put them on this plan and see how they like it. I have been paying for health insurance for over 40 years with very little use. Now that I need the insurance I get very little coverage, I will have to file bankruptcy because I can not pay these bills!
Comments United States Health & Life Insurance
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Comments

43 days ago by Joanna [send email]
Aetna SRC is the worst insurance I have ever dealt with. They cannot find me in their database! Well they do not have problems locating my information to send bills. It takes more than 3 month to order the medicine through their specialized pharmacy and they cannot even verify that I am a customer. I am insured through my husband's employer. And we pay a lot of money for what we are getting. It is the most frustrating experience ever. Can I file a complaint, so they are investigated?

New York, NY
38 days ago by B [send email]
Joanna,

You have my sympathies. It took me well over a year and a half to get one bill paid for a surgury that was already preapproved and everything was in order. I checked several times, and helped to coordinate benefit coverage myself. We paid well over the total out of pocket expense for the entire family for that one surgery. I could go on and on but I won't as I get irritated just thinking about it.

We eventually left the company and the employer who carried Aetna, due to the poor service; both through customer services reps and claims adjusters. Unfortunately, the employer was no help either.
If you have an employer, you might see if there is someone in the HR department who can act as a liason on your behalf. Otherwise, you might try file a claim with the insurance board and/or the Better Business Bureau. You might also write a letter to a higher up in Aetna's home office in Lexington, KY.

Regardless, it will help your case to keep notes on who you speak with including the name, date, and time; whether it is Aetna or a service provider. It will help you prove your case. I always did this as well as the providers involved. Unfortunately, Aetna seems to not keep such good records.

I am now working on two claims that Aetna has decided to readjust, one of which is over a year and a half old. This has proven to be a pattern, in our case. As we are "no longer in the system" and are no longer members; Aetna can not help us. Wish me luck and good luck to you, as well!
4 days ago by Shawn Harris [send email]
It's no better with Aetna SRC here in Florida. Had my daughter in the hospital this weekend, and then had to make a followup appointment, and was told by the hospital and doctor both that she wasn't covered under my Aetna policy, but when I call Aetna, she shows as covered. Aetna keeps saying the doctor and hospital are calling the wrong phone number. Well geez, it's the number right on the front of the card. Also had my husband in the hospital for an emergency heart cath, and was told Aenta wouldn't pay because it was more than they allowed for the procedure. Hate Aetna. I'm going to be making hospital payments for years because of them.

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